An observational study in Chronic Hepatitis C, sponsored by Hoffmann-La Roche. Completed at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-09-23.
Sponsored by Hoffmann-La Roche · Observational
This observational study will examine the efficacy and safety of pegylated interferon (peginterferon) alfa-2a, mostly in combination with ribavirin treatment in chronic hepatitis C (CHC). Quality of care will also be assessed. Approximately 12% of the interferon-treated CHC patient population in Germany is expected to be studied over a period of 5 years.
1,090 studies on the registry are indexed under Hepatitis C, Chronic; 9 are open to participants now.
This study's enrollment of 10,228 is above the median of 250 across 247 observational studies indexed under Hepatitis C, Chronic.
Browse Hepatitis C, Chronic studies →Hoffmann-La Roche is the lead sponsor of 2,099 studies on the registry; 88 are open to participants now.
Of its 324 completed or terminated interventional studies of FDA-regulated products, 245 (76%) have results posted.
Counted across the registry records on this site, refreshed daily.
Patients with CHC treated with peginterferon alfa-2a and ribavirin according to routine clinical practice
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Exclusion Criteria:
Participants with chronic hepatitis C planned for treatment with peginterferon alfa-2a alone or in combination with ribavirin according to routine clinical practice will be observed in this study.
Drug: Pegylated interferon alfa-2a · Drug: Ribavirin
Pegylated interferon alfa-2a administered according to corresponding summary of product characteristics (SmPC).
Also known as: Pegasys®
Ribavirin administered according to corresponding summary of product characteristics (SmPC).
Also known as: Copegus®
Percentage of Participants With Rapid Virologic Response (RVR)
RVR is defined as Hepatitis C-Virus (HCV) Polymerase Chain Reaction (PCR) assay result qualitatively negative and/or viral load ≤50 International Units/milliliter (IU/ml) at Week 4.
Time frame: At Week 4
Percentage of Participants With Early Virologic Response (EVR)
EVR is defined as HCV-PCR assay result qualitatively negative and/or decline of viral load of ≥2 log levels and/or viral load ≤50 IU/ml at Week 12.
Time frame: At Week 12
Percentage of Participants With End of Treatment (EOT) Response
EOT Response is defined as HCV-PCR assay result below limit of detection or viral load ≤50 IU/ml and/or qualitatively negative at the end of treatment.
Time frame: Up to Week 72
Percentage of Participants With Sustained Virologic Response (SVR)
SVR is defined as HCV-PCR assay result below limit of detection or viral load ≤50 IU/ml and/or qualitatively negative at least 12 weeks after the end of treatment at follow up. Follow-up visit occurred at 12 to 24 weeks following discontinuation of treatment.
Time frame: Up to Week 96
Percentage of Participants With Serious Adverse Drug Reactions (SADR)
Time frame: Up to Week 96
Percentage Cumulative Dose of Peginterferon Alfa-2a Received
Data for the accumulation of the cumulative dose of peginterferon alfa-2a were analyzed and reported as the percentage of the intended dose participants received. Cumulative doses were evaluated for participants for whom dosage data were documented consistently throughout the observational period. If the treatment was ongoing at the study end, the cumulative dose was aggregated for the documented observational period.
Time frame: Up to Week 96
Percentage Cumulative Dose of Ribavirin Received
Data for the accumulation of the cumulative dose of ribavirin were analyzed and reported as the percentage of the intended dose participants received. Cumulative doses were evaluated for participants for whom dosage data were documented consistently throughout the observational period. If the treatment was ongoing at the study end, the cumulative dose was aggregated for the documented observational period.
Time frame: Up to Week 96
Duration of Peginterferon Alfa-2a Therapy
Treatment duration was evaluated for participants for whom dates of treatment start and end of therapy were documented.
Time frame: Up to Week 72
Percentage of Participants With the Most Frequent Concomitant Medications
Most frequent concomitant medications were defined as those, which were observed in \>1 % of participants.
Time frame: At Baseline (Day 1)
| Milestone | Main Analysis Set | Elastography Analysis Set: Treated | Elastography Analysis Set: Untreated |
|---|---|---|---|
| Started | 9620 | 90 | 518 |
| Completed | 7071 | 50 | 518 |
| Not completed | 2549 | 40 | 0 |
| Withdrew: Patient died | 19 | 0 | 0 |
| Withdrew: Lack of tolerability | 305 | 3 | 0 |
| Withdrew: Lack of virological response | 1044 | 8 | 0 |
| Withdrew: Concomitant disease | 74 | 2 | 0 |
| Withdrew: Lack of compliance | 211 | 7 | 0 |
| Withdrew: Patients request | 307 | 9 | 0 |
| Withdrew: Lost to follow-up | 451 | 8 | 0 |
| Withdrew: Unplanned event | 82 | 2 | 0 |
| Withdrew: Change of laboratory parameter | 10 | 0 | 0 |
| Withdrew: Hospitalization/surgical intervention | 6 | 0 | 0 |
| Withdrew: Relocation/change of physician | 40 | 1 | 0 |
RVR is defined as Hepatitis C-Virus (HCV) Polymerase Chain Reaction (PCR) assay result qualitatively negative and/or viral load ≤50 International Units/milliliter (IU/ml) at Week 4.
| percentage of participants | Main Analysis Set | Elastography Analysis Set: Treated |
|---|---|---|
| Percentage of Participants With Rapid Virologic Response (RVR) | 40.0 | 41.7 |
EVR is defined as HCV-PCR assay result qualitatively negative and/or decline of viral load of ≥2 log levels and/or viral load ≤50 IU/ml at Week 12.
| percentage of participants | Main Analysis Set | Elastography Analysis Set: Treated |
|---|---|---|
| Percentage of Participants With Early Virologic Response (EVR) | 71.2 | 77.8 |
EOT Response is defined as HCV-PCR assay result below limit of detection or viral load ≤50 IU/ml and/or qualitatively negative at the end of treatment.
| percentage of participants | Main Analysis Set | Elastography Analysis Set: Treated |
|---|---|---|
| Percentage of Participants With End of Treatment (EOT) Response | 59.2 | 51.1 |
SVR is defined as HCV-PCR assay result below limit of detection or viral load ≤50 IU/ml and/or qualitatively negative at least 12 weeks after the end of treatment at follow up. Follow-up visit occurred at 12 to 24 weeks following discontinuation of treatment.
| percentage of participants | Main Analysis Set | Elastography Analysis Set: Treated |
|---|---|---|
| Percentage of Participants With Sustained Virologic Response (SVR) | 41.4 | 36.7 |
| percentage of participants | Main Analysis Set | Elastography Analysis Set: Treated |
|---|---|---|
| Percentage of Participants With Serious Adverse Drug Reactions (SADR) | 3.5 | 3.3 |
Data for the accumulation of the cumulative dose of peginterferon alfa-2a were analyzed and reported as the percentage of the intended dose participants received. Cumulative doses were evaluated for participants for whom dosage data were documented consistently throughout the observational period. If the treatment was ongoing at the study end, the cumulative dose was aggregated for the documented observational period.
| percentage of cumulated dose | Main Analysis Set | Elastography Analysis Set: Treated |
|---|---|---|
| Percentage Cumulative Dose of Peginterferon Alfa-2a Received | 97.9 (1.04 to 400.00) | 94.8 (4.17 to 350.00) |
Data for the accumulation of the cumulative dose of ribavirin were analyzed and reported as the percentage of the intended dose participants received. Cumulative doses were evaluated for participants for whom dosage data were documented consistently throughout the observational period. If the treatment was ongoing at the study end, the cumulative dose was aggregated for the documented observational period.
| percentage of cumulated dose | Main Analysis Set | Elastography Analysis Set: Treated |
|---|---|---|
| Percentage Cumulative Dose of Ribavirin Received | 100.00 (0.00 to 500.00) | 97.92 (8.33 to 480.21) |
Treatment duration was evaluated for participants for whom dates of treatment start and end of therapy were documented.
| weeks | Main Analysis Set | Elastography Analysis Set: Treated |
|---|---|---|
| Duration of Peginterferon Alfa-2a Therapy | 27.3 (1.0 to 106.1) | 29.3 (1.1 to 84.1) |
Most frequent concomitant medications were defined as those, which were observed in \>1 % of participants.
| percentage of participants | Main Analysis Set |
|---|---|
| Anilides | 10.6 |
| Selective serotonin reuptake inhibitors | 9.9 |
| Proton pump inhibitors | 5.3 |
| Propionic acid derivatives | 4.7 |
| Propulsives | 2.3 |
| Other antidepressants | 2.3 |
| Angiotensin-converting-enzyme (ACE) inhibitors | 2.0 |
| Thyroid hormones | 1.8 |
| Corticosteroids, potent (group III) | 1.7 |
| Benzodiazepine related drugs | 1.5 |
| Pyrazolones | 1.4 |
| Beta blocking agents, selective | 1.3 |
| Non-selective monoamine reuptake inhibitors | 1.2 |
Collected over Up to Week 96. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Main Analysis Set | — | 439/9,620 (4.6%) | 5,721/9,620 (59.5%) |
| Elastography Analysis Set: Treated | — | 4/90 (4.4%) | 82/90 (91.1%) |
| Elastography Analysis Set: Untreated | — | 0/518 (0%) | 0/518 (0%) |
| Event | Main Analysis Set | Elastography Analysis Set: Treated | Elastography Analysis Set: Untreated |
|---|---|---|---|
| PancytopeniaBlood and lymphatic system disorders | 8/9620 | 1/90 | 0/518 |
| PneumoniaInfections and infestations | 27/9620 | 1/90 | 0/518 |
| Psychotic disorderPsychiatric disorders | 17/9620 | 1/90 | 0/518 |
| Liver transplantSurgical and medical procedures | 0/9620 | 1/90 | 0/518 |
| AnaemiaBlood and lymphatic system disorders | 35/9620 | 0/90 | 0/518 |
| DepressionPsychiatric disorders | 20/9620 | 0/90 | 0/518 |
| ThrombocytopeniaBlood and lymphatic system disorders | 17/9620 | 0/90 | 0/518 |
| Haemoglobin decreasedInvestigations | 17/9620 | 0/90 | 0/518 |
| LeukopeniaBlood and lymphatic system disorders | 14/9620 | 0/90 | 0/518 |
| AlcoholismPsychiatric disorders | 10/9620 | 0/90 | 0/518 |
| Event | Main Analysis Set | Elastography Analysis Set: Treated | Elastography Analysis Set: Untreated |
|---|---|---|---|
| FatigueGeneral disorders | 3380/9620 | 49/90 | 0/518 |
| AnaemiaBlood and lymphatic system disorders | 471/9620 | 37/90 | 0/518 |
| ThrombocytopeniaBlood and lymphatic system disorders | 299/9620 | 31/90 | 0/518 |
| LeukopeniaBlood and lymphatic system disorders | 311/9620 | 30/90 | 0/518 |
| Weight decreasedInvestigations | 890/9620 | 22/90 | 0/518 |
| Skin disorderSkin and subcutaneous tissue disorders | 1316/9620 | 19/90 | 0/518 |
| DepressionPsychiatric disorders | 705/9620 | 18/90 | 0/518 |
| NauseaGastrointestinal disorders | 820/9620 | 16/90 | 0/518 |
| Depressed moodPsychiatric disorders | 865/9620 | 16/90 | 0/518 |
| HeadacheNervous system disorders | 1348/9620 | 15/90 | 0/518 |
| Age, Continuous(years) | Main Analysis Set | Elastography Analysis Set: Treated | Elastography Analysis Set: Untreated | Total |
|---|---|---|---|---|
| Mean | 42.2 ± 11.4 | 44.9 ± 10.5 | 51.1 ± 12.8 | 42.6 ± 11.6 |
| Sex: Female, Male(Participants) | Main Analysis Set | Elastography Analysis Set: Treated | Elastography Analysis Set: Untreated | Total |
|---|---|---|---|---|
| Female | 3273 | 23 | 217 | 3513 |
| Male | 6347 | 67 | 301 | 6715 |
| Number of Participants With Each Hepatitis C Viral Genotype(participants) | Main Analysis Set | Elastography Analysis Set: Treated | Elastography Analysis Set: Untreated | Total |
|---|---|---|---|---|
| Genotype 1 | 5699 | 51 | 377 | 6127 |
| Genotype 2 | 544 | 3 | 11 | 558 |
| Genotype 3 | 2903 | 30 | 89 | 3022 |
| Genotype 4 | 421 | 6 | 18 | 445 |
| Genotype 5 | 17 | 0 | 2 | 19 |
| Genotype 6 | 15 | 0 | 1 | 16 |
| Genotype unknown | 21 | 0 | 20 | 41 |
| Number of Participants With Low or High Viral Load(participants) | Main Analysis Set | Elastography Analysis Set: Treated | Elastography Analysis Set: Untreated | Total |
|---|---|---|---|---|
| Low viral load | 3769 | 24 | 139 | 3932 |
| High viral load | 5771 | 66 | 356 | 6193 |
| Not determined/not assessable | 80 | 0 | 23 | 103 |
This study is completed, as verified in Aug 2016. You cannot join it, but the record below documents what was studied.
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